HomeMy WebLinkAbout231614 04/23/14 u ��q
`'� "t CITY OF CARMEL, INDIANA VENDOR: 060700
® a ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $"....."27.50"
�. �� CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 231614
+,q_roN CARMEL IN 46032 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 14152 27.50 AUTO REPAIR & MAINTEN
CLARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4" ri FE (317) 844-4839
t mational PES IL
1,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%(Minimum 75) RECEIVED BY
SOLD TOCARMEL FIRE DEPT. 5900/01 SHIP TOSNE INVOICE# 141526
TWO CIVIC SQUARE
CARMEL IN 46032
i
CUST.P.O.# MAKE-MODEL ID# MILEAGE TiEL•E_HONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
#42 #42 38340 571-2609 0 1 N/A 160728 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER Opened by Operator # 7
64/04/2014 141526 NET 10TH 04/04/14 09:16:09 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
REPAIR THE RIGHT REAR TIRE
17 17/18° DISMOUNT & MOUNT PASSENGER 1 1 18.00 .00 18.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50
METHOD OF PAYMENT:
CHARGE: 27.50
CHANGE: .00
/ 2
Tiank you for y Med). Doug
PARTS LABOR TAX°,CUSt Ie� � le No. TAX F.E.T. 1MaourlT PLEASE PfR`VOIC:E�(5jME
27.50 1201 —002-0 27.50
"You're Riding On Our Reputation"
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
141526 42 $27.50
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 South Rangeline Road
Carmel, IN 46032
$27.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 141526 43-510.00 $27.50 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
APR 7 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund